摘要
目的构建临床情境模拟教案质量评价工具并检验其信效度,为准确、客观地评价模拟教师在临床情境模拟教学中的设计能力及教案撰写质量提供有效工具。方法通过文献回顾,并运用德尔菲法进行两轮专家咨询,形成评价工具初稿。随后,面向全国征集了85份临床情境模拟教案,以开展实证研究,并进行信效度检验。结果临床情境模拟教案质量评价工具包含5个一级条目和17个二级条目。该量表的Cronbach’s α系数为0.872,评分者间一致性采用组内相关系数(intraclass correlation coefficient,ICC)衡量,其值为0.838。量表的内容效度指数在量表水平上为0.949。验证性因子分析的结果显示:χ^(2)/df=2.385,RMSEA=0.090,CFI=0.861,表明模型拟合度较好。结论临床情境模拟教案质量评价工具具有较好的信度和效度,可以作为评价模拟教师的临床情境模拟教学设计能力及教案撰写质量的工具。
Objective To construct a quality assessment tool for teaching plans designed for clinical scenario-based simulation,test its reliability and validity,and provide an effective tool for accurately and objectively evaluating the simulation instructors'capabilities in clinical scenario-based simulation teaching designs and the quality of teaching plans.Methods Through literature review and two rounds of expert consultation using the Delphi method,an initial draft of the assessment tool was formed.Subsequently,an empirical study was conducted with 85 clinical scenario-based simulation teaching plans collected nationwide to test the reliability and validity of the assessment tool.Results The quality assessment tool for teaching plans designed for clinical scenario-based simulation consists of 5 primary items and 17 secondary items.The Cronbach'sαcoefficient of the scale was 0.872.The inter-rater reliability,measured by the intraclass correlation coefficient,was 0.838.The scale level content validity index was 0.949.The results of confirmatory factor analysis showedχ^(2)/df of 2.385,a root mean square error of approximation of 0.090,and a comparative fit index of 0.861,indicating an acceptable model fit.Conclusions The quality assessment tool for teaching plans designed for clinical scenario-based simulation demonstrates high reliability and validity and can be used as a tool for evaluating the simulation instructors'capabilities in clinical scenario-based simulation teaching designs and the quality of teaching plans.
作者
王佳玉
徐玲玲
史霆
韩一哲
Wang Jiayu;Xu Lingling;Shi Ting;Han Yizhe(Department of Medical Education,Ruijin Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200025,China;Institute of Medical Education,Peking University,Beijing 100191,China;Training Department of Chinese Medical Doctor Association,Beijing 100073,China)
出处
《中华医学教育探索杂志》
2025年第7期872-877,共6页
Chinese Journal of Medical Education Research
基金
国家重点研发计划“生物与信息融合”重点专项(2022YFF1202600)。
关键词
评价工具
临床情境模拟
教案
教学设计
Assessment tool
Clinical scenario-based simulation
Teaching plan
Teaching design
